| Dr Olukorede Gisanrin, | |
|
9600 Marilyn Ivy Ct, Upper Marlboro, MD 20772-4509 | |
| (240) 533-8778 | |
| Not Available |
| Full Name | Dr Olukorede Gisanrin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9600 Marilyn Ivy Ct, Upper Marlboro, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548094840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R192641 (Maryland) | Primary |
| 163W00000X | Registered Nurse | R192641 (Maryland) | Secondary |
| Entity Name | Medstar Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902175870 PECOS PAC ID: 9335303155 Enrollment ID: O20120607000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Olukorede Gisanrin, 9600 Marilyn Ivy Ct, Upper Marlboro, MD 20772-4509 Ph: () - | Dr Olukorede Gisanrin, 9600 Marilyn Ivy Ct, Upper Marlboro, MD 20772-4509 Ph: (240) 533-8778 |
Mrs. Olayemi O Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Valerian Ln, Upper Marlboro, MD 20774 Phone: 240-381-6576 | |
Keonie Morrisey, PMHNP- BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5014 Forest Pines Dr, Upper Marlboro, MD 20772 Phone: 240-428-9191 | |
Mrs. Shonte Renee Drakeford, APRN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6610 Woodyard Road, Upper Marlboro, MD 20772 Phone: 240-899-1950 | |
Gladys Momoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10081 Campus Way S, Upper Marlboro, MD 20774 Phone: 202-704-2920 | |
Kehinde Olatunji, CRNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Capital Ct, Upper Marlboro, MD 20774 Phone: 301-618-0079 | |
Ogo Tunde-sanya, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9520 Marlboro Pike Ste 201, Upper Marlboro, MD 20772 Phone: 301-957-7210 Fax: 301-604-0731 | |
Frances Atuonah, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3912 Bishopmill Dr, Upper Marlboro, MD 20772 Phone: 202-710-6465 |